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Top Prior Authorization Companies Jobs in Riverside, CA

RE Pharmacy

Intake Representative (IVIG)

Irvine, CA · On-site

$28 - $32/hr

... referrals sources, insurance companies and patients on each pending referral. Intake ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...

Kaizen Stackup

Account Executive Healthcare

Irvine, CA · On-site

$100K - $150K/yr

... prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter ... for top performers The satisfaction of knowing your work directly improves patient lives every ...

Kaizen Stackup

Account Executive Healthcare

Brea, CA

$100K - $150K/yr

... prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter ... for top performers The satisfaction of knowing your work directly improves patient lives every ...

Kaizen Stackup

Account Executive Healthcare

Santa Ana, CA · On-site

$100K - $150K/yr

... prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter ... for top performers The satisfaction of knowing your work directly improves patient lives every ...

Kaizen Stackup

Account Executive Healthcare

Santa Ana, CA · On-site

$100K - $150K/yr

... prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter ... for top performers The satisfaction of knowing your work directly improves patient lives every ...

Kaizen Stackup

Account Executive Healthcare

Irvine, CA

$100K - $150K/yr

... prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter ... for top performers The satisfaction of knowing your work directly improves patient lives every ...

Kaizen Stackup

Account Executive Healthcare

Irvine, CA · On-site

$100K - $150K/yr

... prior authorization and specialty pharmacy workflows with confidence and efficiency Bring a hunter ... for top performers The satisfaction of knowing your work directly improves patient lives every ...

Highland Community Pharmacy

Be Seen First

Certified Pharmacy Technician

San Bernardino, CA · On-site

$18 - $50/hr

  • PTO

Answering & placing calls to patients, doctor's offices & insurance companies Filling new prescription orders & refills Following up with refill requests & medication prior authorizations Restocking ...

AUS Inc

Security Officer Visitor Authorization

Ontario, CA · On-site

$22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... prior to employment. * A valid driver's license will be required for driving positions only. Why ... Enjoy discounts on top brands and services through our Perks Program. Allied Universal ® is an ...

Lucid Diagnostics

Reimbursement Specialist, Appeals

Lake Forest, CA · On-site

$20.50 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid ... Manage various denial types that may result in low-pay appeals, prior authorizations, Clinical and ...

Lucid Diagnostics

Reimbursement Specialist, Appeals

Lake Forest, CA · On-site

$20.25 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid ... Manage various denial types that may result in low-pay appeals, prior authorizations, Clinical and ...

Lucid Diagnostics

Reimbursement Specialist, Appeals

Foothill Ranch, CA · On-site

$19.75 - $27.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid ... Manage various denial types that may result in low-pay appeals, prior authorizations, Clinical and ...

Lucid Diagnostics

Reimbursement Specialist, Appeals

Lake Forest, CA · On-site

$20.50 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Enjoy top-tier medical, dental, and vision coverage, with 98% of employee healthcare premiums paid ... Manage various denial types that may result in low-pay appeals, prior authorizations, Clinical and ...

Synergy Companies

Apprentice Technician - Anaheim CA

Anaheim, CA · On-site

$17.75 - $23/hr

  • Medical

  • Retirement

  • PTO

Salary: 17 Synergy Companies help to provide no-cost energy-saving programs to applicants of the ... Provide top-quality customer service * Be comfortable with selling additional upgrades to the ...

Synergy Companies

Apprentice Technician - Anaheim CA

Anaheim, CA · On-site

$17.75 - $23/hr

  • Medical

  • Retirement

  • PTO

Synergy Companies help to provide no-cost energy-saving programs to applicants of the local public ... Provide top-quality customer service * Be comfortable with selling additional upgrades to the ...

Synergy Companies

Apprentice Technician - Anaheim CA

Anaheim, CA · On-site

$17.75 - $23/hr

  • Medical

  • Retirement

  • PTO

Synergy Companies help to provide no-cost energy-saving programs to applicants of the local public ... Provide top-quality customer service * Be comfortable with selling additional upgrades to the ...

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Showing results 21-40

All JobsTop Prior Authorization Companies JobsTop Prior Authorization Companies Jobs in Riverside, CA

Top Prior Authorization Companies information

See Riverside, CA salary details

$14

$21

$33

How much do top prior authorization companies jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for top prior authorization companies in Riverside, CA is $21.80, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $24.09 per hour, depending on experience, location, and employer.

What is the difference between Top Prior Authorization Companies vs Medical Billing Specialists?

AspectTop Prior Authorization CompaniesMedical Billing Specialists
CredentialsVaries; often includes healthcare administration or insurance certificationsMedical billing or coding certifications, such as CPC or CCS
Work EnvironmentCorporate offices, healthcare facilities, remote teamsMedical offices, clinics, healthcare facilities
Industry UsageInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, healthcare practices
Primary FocusSecuring prior authorizations for procedures and treatmentsProcessing medical claims, coding, and billing

While Top Prior Authorization Companies focus on obtaining approvals for medical procedures, Medical Billing Specialists handle claims processing and coding. Both roles are essential in healthcare revenue cycle management but differ in responsibilities and work settings.

What are top prior authorization companies?

Top prior authorization companies are organizations that specialize in streamlining and managing the prior authorization process for healthcare providers and payers. These companies use technology and expert staff to handle the administrative work required to obtain approval from insurance companies before certain medical services, procedures, or medications are provided. By outsourcing this process, healthcare organizations can reduce delays, lower administrative costs, improve patient care, and increase approval rates. Some well-known companies in this sector include CoverMyMeds, Par8o, and Surescripts.

What are some typical challenges faced by professionals working at prior authorization companies, and how can they be addressed?

Professionals at prior authorization companies often face challenges such as managing high volumes of requests, keeping up with frequently changing payer requirements, and ensuring timely communication between healthcare providers and insurance companies. Addressing these challenges typically involves strong organizational skills, staying updated on the latest industry guidelines, and using advanced software tools to streamline workflow. Team collaboration and ongoing training also play key roles in overcoming these obstacles and maintaining efficiency.

What are the key skills and qualifications needed to thrive at a top prior authorization company, and why are they important?

To succeed at a top prior authorization company, you need a solid understanding of healthcare processes, insurance guidelines, and medical terminology, often supported by experience in medical billing or coding. Familiarity with prior authorization software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, excellent communication, and problem-solving skills help professionals navigate complex approval processes and collaborate with providers and payers. These competencies ensure efficient approvals, reduce errors, and support patient access to necessary care.
What are popular job titles related to Top Prior Authorization Companies jobs in Riverside, CA? For Top Prior Authorization Companies jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Top Prior Authorization Companies jobs in Riverside, CA look for? The top searched job categories for Top Prior Authorization Companies jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Top Prior Authorization Companies jobs? Cities near Riverside, CA with the most Top Prior Authorization Companies job openings:
Top Prior Authorization Companies jobs near you
Infographic showing various Top Prior Authorization Companies job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 18% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $45,340 per year, or $21.8 per hour.

Intake Representative (IVIG)

RE Pharmacy

Irvine, CA • On-site

$28 - $32/hr

Full-time

Re-posted 18 days ago

Job description

About River's Edge Pharmacy:
River's Edge Pharmacy has become a leader in infusion therapy services. Administered by specially trained infusion nurses, these services are provided at standalone locations, physicians' offices. Each location provides individualized care in a private setting for procedures including IVIG, Hemophilia, Chemotherapy, TPN, and Pain Management.
THE RIVER'S EDGE STORY
River's Edge Pharmacy started in Rancho Mirage, CA in 2008 to address the need for compassionate care by specialty pharmacies. In 2013, the Company moved to a larger facility in Palm Desert, CA.
The successful execution of River's Edge Pharmacy's growth strategy led to the opening of a total of nine infusion locations and two pharmacies in California.
Since the expansion, River's Edge Pharmacy has become the specialty pharmacy and infusion service provider of choice for patients and physicians seeking exceptional expertise, human kindness, and professional guidance.
The team of pharmacists, technicians, and care experts at River's Edge Pharmacy serve as patient advocates by combining professional expertise with caring support. These services are all part of River's Edge Pharmacy's commitment to helping patients live better lives while navigating the complicated world of medicine and health insurance.
Position Title: Intake Representative (IVIG)
Department: Patient Services/Intake
Report to: PCC Manager
Position Type: Full-time
Position Overview:
Uses critical thinking skills and exercises independent decision-making as a member of team responsible for assisting our clients. Will gather and complete all necessary information needed for processing of prescriptions and/or care. The Intake Representative, will use sound judgment to coordinate externally with all referrals sources, insurance companies and patients on each pending referral. Intake Representatives will also be expected to work in cooperation with the pharmacist and other ancillary staff to ensure the completion of the order.
Primary Responsibilities:
  • Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards, and build trusted and enduring customer relationships that yield loyalty.
  • Investigate and verify benefits for pharmacy and medical third party claims for assigned cases. May communicate with financial assistance team of drug manufacturers to apply for and secure financial assistance for patient when assigned.
  • Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed. Review for accuracy of prescribed treatment regimen prior to submission of authorization.
  • Facilitate appeals process between the patient, physician and insurance company by requesting denial information and facilitates obtaining the denial letter from the insurance, patient or physician. Composes clinical appeals letters based off of specific denial reason and patients clinical presentation. Ensures all clinical information and documentation are obtained prior to appeal submission. Coordinates appointment of representative document with patient and physician office.
  • Completes status check with insurance company regarding receipt of prior authorization and appeal and approval or denial status. Obtains approval information and activates copay cards based off of eligibility and specific drug prescribed.
  • Track, report and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay service, to ensure patient access and to avoid delays that may interrupt therapy.
  • Build and maintain effective business relationships with prescribers treating assigned set of disease states and provide ongoing communication of specific case-related information as appropriate.
  • Completes a series of assessments mandated by either manufacturer contracts or operations and facilitates patient enrollment with manufacturer Hubs when required.
  • Receive notification of patients in need of financial assistance to cover the cost of their prescriptions. Communicate with patients to provide information regarding assistance programs and community resources that provide the required assistance.
  • Obtain required information and permission from patients and submit electronic applications for financial assistance of their behalf, or provide patients with forms required by assistance providers, follow up to offer assistance to complete documents properly, and ensure that applications are filed in keeping with defined time limits to avoid interruption in therapy.
  • Follow up with assistance providers to determine the status of applications, expedite consideration of requests, advocate on behalf of patients, and track the status of applications and related activity.
  • Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of patient contact records. Ensure that work activities are conducted in compliance with regulatory requirements and the organization's defined standards and procedures, and in a manner that provides the best available level of service and quality.
  • Accurate and timely processing of new specialty pharmacy referrals with a strong emphasis on IVIG (Intravenous Immunoglobulin) therapies.

Plus - may perform other duties as assigned.
Education:
  • High school diploma or equivalent required
  • Associate or Bachelor's degree in healthcare, life sciences, or business preferred
  • CA BOP Pharmacy Technician License preferred

Experience:
  • 5 or more years prior Pharmacy or experience.
  • 3 or more years prior experience with Specialty or Infusion Pharmacy medications.
  • Prior experience in processing Infusion therapy with strong emphasis on Ig therapy.

Technical / Specialized Knowledge, Skills Abilities
  • Thorough knowledge of Specialty Pharmacy laws and regulations.
  • Proficient with Microsoft Office Suite or related software.
  • Excellent verbal and written communication skills.
  • Excellent interpersonal, negotiation, and conflict resolution skills.
  • Excellent organizational skills and attention to detail.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize tasks and to delegate them when appropriate.
  • Ability to act with integrity, professionalism, and confidentiality.

Working Conditions:
  • This is a full-time position in a professional office environment.
  • The role requires prolonged periods of sitting, frequent use of a computer and other standard office equipment, and occasional lifting of up to 20 pounds.
  • Regular attendance and punctuality are essential. Some evening or weekend work may be required based on business needs.

Equal Opportunity Employer:
We are an equal opportunity employer committed to diversity and inclusion. We celebrate diversity and are dedicated to fostering an inclusive environment for all employees.

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